Page 12 of Best Nursing Homes in Iowa

Why trust this guide? Our editorial team analyzed 239 nursing homes in IA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in IA
Reviewed by
Last updated
We analyzed These are the facilities in Iowa our team has analyzed — not a count of every nursing home provider in Iowa.
239 homes
Other senior care options in Iowa:
Avg Overall CMS Rating: 3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Iowa. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Iowa. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.9/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Iowa. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Iowa

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rolling Green Village
NH
AL
SNF
Nevada
58
Facility 58
IA AVG 72
Rank #226 / 403
76.6%
Facility 76.6%
IA AVG 67%
Rank #150 / 362
+14%
4.15
Facility 4.15
IA AVG 4.30
Rank #131 / 231
+4%-3%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
15
Facility 15
IA AVG 21.7
Rank #102 / 232
5.0
Facility 5.0
IA AVG 4.1
Rank #157 / 232
144-
71
Facility 71
IA AVG 47
Rank #94 / 504
-
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
IA AVG $6.9M
Rank #133 / 224
$2.9MFiscal year ending 06/2024
Facility $2.9MFiscal year ending 06/2024
IA AVG $4.2M
Rank #139 / 224
53.1%Fiscal year ending 06/2024
Facility 53.1%Fiscal year ending 06/2024
IA AVG 60.3%
Rank #163 / 224
165361
Arbor Court
NH
Mount Pleasant
62
Facility 62
IA AVG 72
Rank #201 / 403
82.3%
Facility 82.3%
IA AVG 67%
Rank #110 / 362
+23%
3.16
Facility 3.16
IA AVG 4.30
Rank #225 / 231
-25%-26%
$33.8k
Facility $33.8k
IA AVG $53.4k
Rank #192 / 239
32
Facility 32
IA AVG 21.7
Rank #180 / 232
4.0
Facility 4.0
IA AVG 4.1
Rank #123 / 232
551-
58
Facility 58
IA AVG 47
Rank #168 / 504
Arbor Court Investments, LLC
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #138 / 224
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #129 / 224
62.3%Fiscal year ending 12/2023
Facility 62.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #79 / 224
165478
Granger Nursing and Rehabilitation Center
NH
RC
SNF
Granger
67
Facility 67
IA AVG 72
Rank #178 / 403
59.7%
Facility 59.7%
IA AVG 67%
Rank #218 / 362
-11%
3.68
Facility 3.68
IA AVG 4.30
Rank #184 / 231
-9%-14%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
38
Facility 38
IA AVG 21.7
Rank #193 / 232
12.7
Facility 12.7
IA AVG 4.1
Rank #230 / 232
140-
23
Facility 23
IA AVG 47
Rank #404 / 504
Ian Christy
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
IA AVG $6.9M
Rank #129 / 224
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #126 / 224
58.7%Fiscal year ending 12/2023
Facility 58.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #107 / 224
165208
Birkwood Village of Fort Madison
NH
AL
IL
MC
RC
SNF
Fort Madison
42
Facility 42
IA AVG 72
Rank #317 / 403
69.0%
Facility 69.0%
IA AVG 67%
Rank #196 / 362
+3%
4.15
Facility 4.15
IA AVG 4.30
Rank #131 / 231
+4%-3%
$3.1k
Facility $3.1k
IA AVG $53.4k
Rank #147 / 239
31
Facility 31
IA AVG 21.7
Rank #175 / 232
6.2
Facility 6.2
IA AVG 4.1
Rank #196 / 232
229--Mark Holtkamp
$8.3MFiscal year ending 12/2023
Facility $8.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #61 / 224
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
IA AVG $4.2M
Rank #84 / 224
49%Fiscal year ending 12/2023
Facility 49%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #187 / 224
165227
Centerville Specialty Care
NH
SNF
Centerville
46
Facility 46
IA AVG 72
Rank #272 / 403
82.6%
Facility 82.6%
IA AVG 67%
Rank #106 / 362
+23%
3.67
Facility 3.67
IA AVG 4.30
Rank #184 / 231
-7%-14%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
35
Facility 35
IA AVG 21.7
Rank #185 / 232
5.8
Facility 5.8
IA AVG 4.1
Rank #184 / 232
338-
66
Facility 66
IA AVG 47
Rank #118 / 504
Miriam Wall
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
IA AVG $6.9M
Rank #186 / 224
$2.3MFiscal year ending 12/2023
Facility $2.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #178 / 224
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #86 / 224
165225
Montezuma Specialty Care
NH
SNF
Montezuma
41
Facility 41
IA AVG 72
Rank #319 / 403
68.3%
Facility 68.3%
IA AVG 67%
Rank #199 / 362
+2%
3.81
Facility 3.81
IA AVG 4.30
Rank #164 / 231
-11%-11%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
13
Facility 13
IA AVG 21.7
Rank #86 / 232
3.3
Facility 3.3
IA AVG 4.1
Rank #88 / 232
128-
49
Facility 49
IA AVG 47
Rank #232 / 504
-
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
IA AVG $6.9M
Rank #206 / 224
$1.3MFiscal year ending 12/2023
Facility $1.3MFiscal year ending 12/2023
IA AVG $4.2M
Rank #222 / 224
42.7%Fiscal year ending 12/2023
Facility 42.7%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #214 / 224
165295
Rose Haven Nursing Home
NH
IL
SNF
Marengo
58
Facility 58
IA AVG 72
Rank #226 / 403
77.6%
Facility 77.6%
IA AVG 67%
Rank #143 / 362
+16%
3.78
Facility 3.78
IA AVG 4.30
Rank #164 / 231
-25%-12%
$10.1k
Facility $10.1k
IA AVG $53.4k
Rank #155 / 239
26
Facility 26
IA AVG 21.7
Rank #161 / 232
4.3
Facility 4.3
IA AVG 4.1
Rank #139 / 232
145-
47
Facility 47
IA AVG 47
Rank #245 / 504
-
$4.9MFiscal year ending 11/2023
Facility $4.9MFiscal year ending 11/2023
IA AVG $6.9M
Rank #145 / 224
$2.2MFiscal year ending 11/2023
Facility $2.2MFiscal year ending 11/2023
IA AVG $4.2M
Rank #188 / 224
44.9%Fiscal year ending 11/2023
Facility 44.9%Fiscal year ending 11/2023
IA AVG 60.3%
Rank #210 / 224
165614
Montrose Health Center INC
NH
HOS
RC
SNF
Montrose
44
Facility 44
IA AVG 72
Rank #307 / 403
81.8%
Facility 81.8%
IA AVG 67%
Rank #113 / 362
+22%
4.36
Facility 4.36
IA AVG 4.30
Rank #100 / 231
+29%+2%
$49.3k
Facility $49.3k
IA AVG $53.4k
Rank #206 / 239
15
Facility 15
IA AVG 21.7
Rank #102 / 232
3.8
Facility 3.8
IA AVG 4.1
Rank #114 / 232
536-
12
Facility 12
IA AVG 47
Rank #454 / 504
David M Payne
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
IA AVG $6.9M
Rank #175 / 224
$2.0MFiscal year ending 12/2023
Facility $2.0MFiscal year ending 12/2023
IA AVG $4.2M
Rank #200 / 224
49.2%Fiscal year ending 12/2023
Facility 49.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #185 / 224
165304
Odebolt Specialty Care
NH
SNF
Odebolt
38
Facility 38
IA AVG 72
Rank #350 / 403
86.8%
Facility 86.8%
IA AVG 67%
Rank #83 / 362
+30%
4.69
Facility 4.69
IA AVG 4.30
Rank #70 / 231
+13%+9%
$14.4k
Facility $14.4k
IA AVG $53.4k
Rank #162 / 239
21
Facility 21
IA AVG 21.7
Rank #142 / 232
4.2
Facility 4.2
IA AVG 4.1
Rank #137 / 232
333-
27
Facility 27
IA AVG 47
Rank #386 / 504
Madison Leisinger
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
IA AVG $6.9M
Rank #203 / 224
$1.7MFiscal year ending 12/2023
Facility $1.7MFiscal year ending 12/2023
IA AVG $4.2M
Rank #213 / 224
55.3%Fiscal year ending 12/2023
Facility 55.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #138 / 224
165180
Stacyville Community Nursing Home
NH
SNF
Stacyville
34
Facility 34
IA AVG 72
Rank #370 / 403
64.7%
Facility 64.7%
IA AVG 67%
Rank #207 / 362
-3%
5.49
Facility 5.49
IA AVG 4.30
Rank #17 / 231
-1%+28%
$22.0k
Facility $22.0k
IA AVG $53.4k
Rank #172 / 239
37
Facility 37
IA AVG 21.7
Rank #191 / 232
6.2
Facility 6.2
IA AVG 4.1
Rank #196 / 232
222-
16
Facility 16
IA AVG 47
Rank #437 / 504
Jill Schutz
$1.6MFiscal year ending 12/2023
Facility $1.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #223 / 224
$1.6MFiscal year ending 12/2023
Facility $1.6MFiscal year ending 12/2023
IA AVG $4.2M
Rank #215 / 224
99.3%Fiscal year ending 12/2023
Facility 99.3%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #3 / 224
165438

Rank badges are statewide: each community is ranked against every IA community we track that reports that metric, not just the 239 on this page.

Rows per page:
Nursing Home Explorer
1...111213...20
Overview of Rolling Green Village

Financing for the 58-bed nursing home at 100 Sixth Street in Nevada, Iowa, is coordinated through private pay, Medicare, and Medicaid. Residents generally stay for about three months on average, balancing temporary rehabilitation patients with traditional long-term residents. The building currently runs at a lower occupancy rate, allowing the administration to offer immediate room availability and flexible placement options for incoming individuals.

Hands-on care is provided by a floor staff that delivers an average of 4 hours and 14 minutes of direct attention to each resident daily. A strong presence of nurse aides anchors this round-the-clock clinical schedule, with the team focusing on orthopedic recovery, physical rehabilitation, and daily personal care to help people regain their independence. For visitors traveling to the property, the surrounding neighborhood scores a 71 out of 100 for walkability, which means basic day-to-day errands can easily be managed on foot.

Interested individuals can get in touch with the main office to find out about current room availability, ask about the orthopedic therapy schedules, or set up a time to visit the building. The administration can also help review your insurance benefits and explain how Medicare or Medicaid applies to short-term recovery stays.

Contact Rolling Green Village

Arbor Court

701 East Mapleleaf Drive, Mount Pleasant, IA 52641-1402
Overview of Arbor Court

Arbor Court is a 62-bed nursing home located at 701 East Mapleleaf Drive in Mount Pleasant, Iowa. Operated by Arbor Court Investments, LLC under administrator Lisa Hanson, the building maintains an 82 percent occupancy rate. Financial setups cover standard private out-of-pocket billing alongside conventional state Medicaid and federal Medicare network coverages. Stays average around 154 days, reflecting an operational mix that blends short-term therapy recovery with standard extended clinical placements.

An average of 2 hours and 52 minutes of direct hands-on nursing care is dedicated to each individual daily. Certified nurse aides cover the largest portion of this schedule at 2 hours and 34 minutes, while registered nurses and licensed practical nurses each provide 25 minutes of clinical monitoring and treatment tracking. Moving past the medical routine, the property features a 23-year operating history inside a residential town neighborhood that scores a 58 out of 100 for walkability, letting visiting guests manage a few simple community tasks on foot.

State oversight involves recurring safety surveys and health compliance checks managed by the Iowa Department of Inspections, Appeals, and Licensing. These routine regulatory inspections review administrative practices, resident health assessments, and standard quality assurance protocols to confirm alignment with public healthcare codes. Internal supervisors use the results of these periodic health reviews to guide ongoing policy updates and direct continuing skill-training modules for the floor shifts.

Prospective representatives can contact the intake desk to verify open bed spaces, ask about the available physical therapy programs, or arrange an morning walkthrough of the property layout.

Contact Arbor Court

Overview of Granger Nursing and Rehabilitation Center

Owned by Ian Christy, Granger Nursing and Rehabilitation Center is a skilled nursing community that serves residents through Medicare, Medicaid, and private pay. The 67-bed facility has an occupancy rate of 60%. Residents stay an average of 148 days, including short-term rehabilitation and ongoing nursing care.

Clinically, Granger offers a broad range of specialized services, including skilled and intermediate nursing care, short-term rehabilitation, and respite care. There’s also round-the-clock staffing support. The facility can manage complex medical needs such as IV therapy, ostomy care, diabetic management, enteral nutrition, tracheotomy care, and pain management. It’s best for residents requiring intensive nursing support and therapies.

Total nurse staffing averages 3 hours and 41 minutes per resident each day, providing substantial hands-on clinical support. Residents are also supported by registered nurse coverage of 25 minutes per resident daily, nurse aide assistance of 25 minutes, and LPN/LVN support of 24 minutes per day.

State inspections historically focused on medication management, resident dignity, and infection control practices. The facility has demonstrated substantial compliance, indicating that these areas are well managed.

The facility has comfortable rooms and peaceful common areas, with dining options available to residents. It’s located in a car-dependent area, so most errands require transportation. The facility’s focus on comprehensive skilled care and rehabilitation services makes it a great choice for families seeking intensive nursing and therapy support.

Contact Granger Nursing and Rehabilitation Center

Overview of Birkwood Village of Fort Madison

Birkwood Village of Fort Madison offers a continuous care setup covering independent living, assisted living, and skilled nursing at 1701 41st Street in Fort Madison, Iowa. Mark Holtkamp privately owns the 42-bed campus, which operates under the direction of administrator Brenda Graham. The facility currently sits at a 69 percent occupancy rate and accepts payment via private accounts, Medicare, and state Medicaid. Stays here average about 179 days, which splits the daily routine between short-term physical therapy and permanent clinical housing.

Residents receive a daily average of 4 hours and 14 minutes of direct nursing attention, including 33 minutes from registered nurses. A full-time recreation director designs activities, and the kitchen provides made-to-order menus for all three meals. The building features studio, one-bedroom, and two-bedroom options, alongside dedicated memory care spaces for people with cognitive decline. The rural neighborhood has a walk score of 29, meaning you will need a car for most errands and family visits.

State inspections over the two years since opening have highlighted a few areas for improvement, specifically noting procedural issues with care plans, staffing levels, infection control, and medication management. The facility’s management reviews these reports to retrain employees and update floor practices.

Interested individuals can call the main office to find out about room openings, ask about the made-to-order dining options, or set up a time to see the apartments. The front desk can also cross-reference insurance details to outline how public programs or personal funding cover the monthly rates.

Contact Birkwood Village of Fort Madison

Centerville Specialty Care

1208 East Cross Street, Centerville, IA 52544-3599
Overview of Centerville Specialty Care

Centerville Specialty Care operates a 46-bed skilled nursing property at 1208 East Cross Street in Centerville, Iowa. Part of the regional nonprofit Care Initiatives network, the building retains a stable occupancy level around 83 percent. Account managers process residential balances through individual out-of-pocket payment pathways, federal Medicare allocations, or traditional state Medicaid options. Individual stays average roughly 184 days, creating a daily campus mix that accommodates short-term post-hospital therapy alongside conventional long-term skilled nursing oversight.

For everyday support, the facility provides an average of 3 hours and 57 minutes of direct, hands-on nursing attention per resident each day. This round-the-clock shift schedule splits time among certified nursing assistants, licensed practical nurses, and registered nurses who manage medication logs, wound care, and physical therapy recovery lines. Outside the property walls, the surrounding Centerville neighborhood holds a walkability score of 66 out of 100, which means visiting family members can easily step out and complete several basic errands on foot.

Recent evaluation surveys confirmed that the building operates in substantial compliance with public health rules, logging minimal procedural deficiencies. The building’s administrative staff analyzes these regular health reports to guide internal policy updates, refine safety practices, and direct continuous skill training for the clinical shifts.

Prospective residents can call the admissions department to ask about immediate room layouts, look over available physical therapy options, or schedule a day to see the property. The business desk can also cross-reference active health insurance plans to show how private assets, state programs, or federal benefits apply to standard monthly statements.

Contact Centerville Specialty Care

Montezuma Specialty Care

316 Meadow Lane Drive, Montezuma, IA 50171-1114
Overview of Montezuma Specialty Care

Montezuma Specialty Care operates as a 41-bed governmental skilled nursing facility under the direction of administrator Mitchell Huff in Montezuma, Iowa. The property houses roughly 28 residents and manages billing through private pay, Medicare, and Medicaid. Resident stays average about eight months, though individual intervals vary by funding type, as Medicare recovery stays typically run one to two months, private-pay situations average six to seven months, and Medicaid placements last around two years.

The floor staff delivers an average of 3 hours and 47 minutes of direct care to each resident daily. Registered nurses, licensed practical nurses, and nurse aides balance this 24-hour clinical schedule to coordinate routine medical monitoring and physical therapy sessions. For out-of-town visitors, the local neighborhood scores a 49 out of 100 for walkability, indicating that a personal vehicle is useful for the majority of local trips and errands.

State safety records confirm regular monitoring of the building’s operational standards. The most recent health and safety survey conducted by state inspectors in April 2025 showed full compliance with regulatory care requirements and quality assurance practices.

Older adults can get in touch with the main office to check on current room openings, ask about the tailored rehabilitation schedules, or arrange a time to look around the facility.

Contact Montezuma Specialty Care

Overview of Rose Haven Nursing Home

Rose Haven Nursing Home is a 58-bed facility in Marengo, Iowa, run by administrator Tereni Kepler. The building operates at roughly 78 percent occupancy and handles billing through private pay alongside Medicare and Medicaid. Lengths of stay average around 93 days, which means the daily routine balances short-term, post-hospital recovery therapies with traditional extended nursing placements.

The on-floor nursing team provides an average of 3 hours and 34 minutes of direct daily care to each resident. Registered nurses account for 32 minutes of this daily care, working alongside nurse aides to manage physical, occupational, and speech therapy routines. The facility coordinates music sessions, group games, and dietary consultations for tailored meals to support daily life. The town setting has a walkability score of 47 out of 100, indicating that while you can handle a few minor errands on foot, a short drive is required for most trips.

Families can reach out to the admissions office to check on current room openings, look over the seasonal events calendar, or plan a walkthrough of the therapy rooms. The business desk can also help verify your financial eligibility and clarify how Medicare or state aid programs handle short-term recovery costs.

Contact Rose Haven Nursing Home

Overview of Montrose Health Center

Serving its community for 38 years, Montrose Health Center, Inc. is a 44-bed nursing home. The facility accepts Medicare, Medicaid, and private pay, so families have several options for arranging both short-term rehabilitation and longer-term nursing care. The community operates at 82% occupancy, and residents stay an average of 284 days, which includes individuals recovering from acute health events as well as those requiring ongoing care.

Daily nurse staffing averages 4 hours and 41 minutes per resident. Registered nurses, nurse aides, licensed practical nurses, and wound care staff work throughout the day. This level of staffing supports the facility’s rehabilitation focus. Physical therapy, occupational therapy, and speech therapy are available on-site. The facility also offers respite care for families seeking temporary stays, and there’s 24-hour staffing to provide continuous nursing coverage.

State inspections have reviewed the facility’s medication management protocols and clinical care practices. The facility was able to address identified areas of focus, and a recent follow-up survey confirmed substantial compliance. Families touring the home can ask how these care and safety practices are managed in daily operations.

There are a variety of programs and services that keep residents active and engaged. Residents can join in exercise classes, restorative nursing programs, resident council activities, live music events, crafts, scenic rides, pet therapy, and religious services. In-house podiatry and X-ray services are also available. The facility has low employee turnover and local ownership as part of its operations.

The community has a Walk Score of 12. It’s a car-dependent location, so most errands and visits require transportation. The setting may appeal to families who prefer a quieter environment and have their own transportation for visits.

Contact Montrose Health Center INC

Odebolt Specialty Care

801 South Des Moines Street, Odebolt, IA 51458-4867
Overview of Odebolt Specialty Care

Under the leadership of administrator Madison Leisinger, Odebolt Specialty Care manages a 38-bed skilled nursing community. The facility operates at an 87 percent occupancy level, processing monthly billing through private pay alongside Medicare and Medicaid networks. Lengths of stay hover around 198 days on average, creating an environment that balances post-hospital recovery therapies with traditional extended care.

An average of 4 hours and 44 minutes of direct daily care is delivered to each resident by the hands-on nursing staff. This round-the-clock clinical schedule utilizes a blended team of registered nurses, licensed practical nurses, and certified nurse aides who collaborate on physical therapy, medical monitoring, and everyday assistance. The community has a walkability score of 27 out of 100, indicating that visitors and family members will need a vehicle to handle local trips and errands.

Recent audits from the Iowa Department of Inspections, Appeals, and Licensing noted some administrative and operational issues. State files highlighted specific documentation corrections needed for high-risk medication records, general resident supervision routines, care planning, and basic infection control protocols. The management uses these formal inspection findings to adjust staff training programs and refine internal safety routines.

Prospective individuals can reach out to the administrative desk to verify room openings, request information about the customized rehabilitation therapies, or set up a time to visit the building. The office staff can also assist with insurance verification and explain how public coverage or private payments apply to monthly care costs.

Contact Odebolt Specialty Care

Overview of Stacyville Community Nursing Home

Operated under the ownership of Jill Schutz, Stacyville Community Nursing Home is a small nursing facility in Iowa. Medicare, Medicaid, and private pay are accepted, giving families several options for covering short-term rehabilitation and longer-term nursing care.

The 34-bed community currently has 22 residents, resulting in an occupancy rate of 65%. Residents stay an average of 163 days, which includes post-acute care patients and those receiving ongoing skilled nursing services. Daily nurse staffing averages 5 hours and 47 minutes per resident. The team provides the foundation for hands-on support and clinical oversight.

Located in Iowa’s rural area with a Walk Score of 16, the facility is in a car-dependent setting where most errands require transportation. This quieter environment may appeal to families who prefer a rural location. It can also be convenient for residents and visitors from nearby communities.

State inspections have reviewed care documentation practices, staffing adequacy, infection prevention procedures, and medication management. The facility has worked with state regulators to address findings and maintain compliance with certification requirements.

Contact Stacyville Community Nursing Home

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Nursing Homes in Iowa

What's the difference between assisted living and a nursing home in Iowa?

Assisted living in Iowa is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Iowa Medicaid cover nursing home care?

Yes — Iowa Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 239 nursing homes in Iowa. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Iowa?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Iowa, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Iowa?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.